Job Information
Community Health Systems Sr Financial Analyst in Franklin, Tennessee
Job Summary
Provides data retrieval / contract modeling / financial analysis support to VP and Managed Care Regional Contracting Directors.
Open to remote though local candidates preferred
Essential Duties and Responsibilities
Retrieves reimbursement data from hospital accounting systems.
Builds financial models to analyze and evaluate the reimbursement impact of hospital and physician payer reimbursement methodology proposals including, Bundled Payment Models and concepts, (see Qualifications below).
Works with Managed Care Regional Contracting Directors on contract interpretation issues to ensure accuracy of contract models and financial analysis.
Produces clear and concise written reports summarizing payment modeling analysis.
Assists in periodic projects to report on industry reimbursement trends.
QA monthly data loads.
Completes special projects/reports as needed
Qualifications
Well versed in reimbursement methodology including DRG, APC, COPPS, OPPS, Case Rates, and Per Diems (minimum 4 years’ experience).
Familiar with hospital billing and coding terminology including diagnostic codes, revenue codes, procedure codes, and HCPCS codes.
Well versed in healthcare product lines including HMO, PPO, HIX, Medicare, Medicaid, Tricare, Workers Comp.
Must be able to clearly communicate complex and technical issues in writing and verbally.
The ability to assist with the training and mentoring of Associates and Analysts
Education/Experience
Bachelor’s degree required; emphasis in Accounting or Data Analytics preferred
Five (5) years’ work experience required
Prior experience in hospital or health plan financial analysis, or equivalent experience preferred
Knows/has modeled/worked with health plan/hospital and physician managed care commercial and Medicare reimbursement methodologies and terminology
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.